| Description | Remote Part-Time Senior Medical Billing Analyst Job description Leading women's reproductive health center seeks an experienced professional remote Senior Medical Billing Analyst. Successful candidates will have experience both in NYS Article 28 Ambulatory Surgical Center billing as well as Article 28 clinic billing. They will ensure all processes are in accordance with the mission core values and purposes of the organization. Experience: Facility and professional billing and coding experience a must Outpatient/ASC billing and coding experience a must Candidates who are currently employed as a Biller are preferred Experience with doc-tor.com billing platform preferred Experience with eClinicalWorks EMHR a big plus Experience working with Medicaid and Managed Medicaid insurance carriers a must Working knowledge of NYS DOH ePaces claim submission platform a big plus Denials research appeals and rebilling experience a must Comprehend insurance Explanation of Benefits (EOB’s) from various insurance carriers Posting cash receipts from paper remittances as well as ERAs ICD-10 NY-APG and CPT coding knowledge Insurance verifications experience strongly preferred Registration and admitting process knowledge Responsibilities: Assist in-house Sr. Outpatient Coding Specialist with ensuring patient encounters in EMHR platform are coded appropriately Work closely with outside billing company to assist in monitoring claim activity examine insurance EOBs and posting of paper and electronic insurance remittances Address billing issues as they occur identify incorrect billing and recommend solutions to prevent going forward. Ensure compliance and integrity of data with billing and regulatory requirements. Continuously look for areas to improve existing processes Detect errors in billing processes and suggest appropriate corrections Perform analytical review of denials and payment variances. Determine the reasons for denials discuss with outside billing company assist in correct claim file. Also assist with appeal denials and perform appropriate insurance company follow up. Create trending reports of all high-volume denials and payment variances and prepare and submit progress reports to billing company and CFO Perform reimbursement management analyze payer reimbursement to ensure proper claim adjudication and track and report on high volume payment discrepancies. Able to perform all other billing functions/tasks and other duties as assigned by Sr. Coding Specialist outside billing company and CFO. Conforms to all applicable HIPAA Billing Compliance and safety policies and guidelines. Adheres to agency policy procedures and the professional code of ethics. Qualifications Medical Billing and Coding: 5 years ICD-10 NY-APG and CPT: 5 years eClinical Works EMHR Platform : 2 years (a plus) Doc-tor.com Billing Platform: 2 years (preferred) ePaces NYS DOH Claims Platform:1 year (a plus) Proficient in Excel (Required) Excellent communication and organizational skills Must be able to work well in a fast-paced professional office environment. License/Certification: Medical Billing Certification (Preferred) Pay Rate: Based on experience and qualifications $29.00-$35.00 per hour Job Type Part-time Schedule: Monday to Saturday Hourly Flex Schedule Work Location: · Remote Please visit our site: choiceswomensmedicalcenter.com Job Type: Part-time Pay: $29.00 - $35.00 per hour Work Location: Remote |